NPI Profile for DEXTER CLARKE in BRONX, NY.
A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Residential Treatment Facility, Emotionally Disturbed Children |
322D00000X |
| NPI # | 1962779793 |
|
| Status | Active | |
| Credentials | MSW (Master of Science in Social Work) | |
| Entity | Individual | |
| Enumeration date | 11/22/2011 | |
| Last updated | 11/22/2011 - About 15 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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DEXTER CLARKE
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